NPIMap

Organization Active NPI

East County Endodontics

  • Endodontics
  • El Cajon, CA
National Provider Identifier
1578747754
Registry record updated Dec 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
49302 Issued in CA
Legal business name
EAST COUNTY ENDODONTICS
Practice address
506 S Magnolia Ave
El Cajon, CA 92020-6011
Phone
(619) 579-0316
NPI assigned
Dec 23, 2007
Organization subpart
Yes
Parent organization
LA JOLLA DENTAL SPECIALTY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael DO, D.D.S.
Title
Owner
Phone
(619) 579-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 49302 CA Primary

Addresses

Primary practice location

506 S Magnolia Ave
El Cajon, CA 92020-6011

Mailing address

506 S Magnolia Ave
El Cajon, CA 92020-6011
Phone (619) 579-0316

National Provider Directory

National Provider Directory
Tax ID family
South Bay Endodontics3 organizations share this tax ID, including this one
Part of
South Bay Endodontics

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

506 S Magnolia Ave
El Cajon, CA 92020
Phone (619) 579-0316

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198368000000",
    "number": "1578747754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206011",
            "telephone_number": "619-579-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206011",
            "telephone_number": "619-579-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA JOLLA DENTAL SPECIALTY GROUP",
        "enumeration_date": "2007-12-23",
        "last_updated": "2007-12-23",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-579-0316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.